Depression, social support, and quality of life were examined in patients with diabetes. Significant relationships were found: social support positively correlated with quality of life, while depression negatively correlated with social support and quality of life. Gender differences also emerged, with males reporting higher depression and social support than females. Daily exercise was linked to higher quality of life and social support but lower depression. Social support partially mediated the relationship between depression and quality of life. The study highlights the importance of addressing psychological factors to improve health outcomes in diabetes patients.
Quality Of Life, Spirituality and Social Support among Caregivers of Cancer P...iosrjce
Caregiving can be both rewarding and challenging. Literature suggests that family caregivers may
experience increased symptoms of psychological and social malfunctioning. However, it may also provide one
with opportunities to renew relationships or feel connected to a higher power. The current study is an attempt to
investigate how caregiving influences a person’s general wellbeing. The sample consisted of 25 caregivers of
cancer patients and 25 appropriately matched control.World Health Organization- QOL (1991),
Multidimensional Scale of Perceived Social Support by Zimet, et al (1988) and Spiritual Perspective Scale by
Reed (1986) were used to asses QOL, Social support and spirituality respectively. The obtained data was
analyzed in SPSS using independent sample t-test. Results indicated a significant difference between Caregivers
and the control group on QOL, spirituality and social support.
Study of Depression and Role of Support Groups in Its Management among HIV/AI...paperpublications3
Abstract: The acquired immuno-deficiency syndrome (AIDS) is one of the most dreaded entities that modern medicine has ever had to tackle. Depression is the most frequently observed psychiatric disorder among HIV/AIDS patients. It interferes with all aspects of living and may have a severe negative impact on quality of life. An HIV positive diagnosis is a life changing event and may induce shock, a sense of helplessness, denial, and occasional self blame. Belonging to a support group may be of assistance in preventing depression. PLWHA should be advised to belong to a support group. To improve the role of support groups their sizes should be limited.
Methodology: Aim of the Study: To determine the prevalence of depression among HIV positives and to find out the role Support group in reduction of depression.
Study Setting & Design: A tertiary care hospital, and Positive networks, Cross sectional study.
Sample Size: Study constituted of 100 HIV positive patients, depression was assessed using BDI, The data was collected using a pretested semi structured preformed, after obtaining written informed consent.
Sampling Method: Random Sample
Statistical analysis: Data was be analyzed using SPSS version 11.5, statistical test ANOVA and CHI-SQUARE will be used and P less than 0.05 taken as significant.
Exclusion criteria: people below the age of 18 years and above 65 years patients, who are not given consent.
Study Duration: 6 Months
Data Collection: The data was collected using a BDI –Beck Depression Inventory Scale (annexure 1) The HIV positive subjects were invited to participate in the interview and those who presented for treatment, People were invited to participate in the interview and after obtaining a written informed consent the subjects were recruited in the study. The study details were explained to them that this procedure would not affect the scheduled times of their consultation. The interviews were conducted in medical consultation rooms by the investigator. Each interview lasted an average of 1 hour.
Results: The result showed was that statistically significant (p=0.002) depression among urban area.69.5% were depressed among primary education, 59.4% were depressed among 8-12, 100% were depressed those who are education above 12 standard. There is no statistically significant in education and depression.
62% were depressed daily waged, 61.1% were depressed among salaried, 83.3% were depressed among business, 84.6% were depressed among unemployed
There is no statistically significant depression based on their education.
Unmarried 100% were depressed, 67.3% married were depressed, 100% depressed among divorced, 100%were depressed among spouse, 64.1% were depressed among widowed. There is no statistically significant between depression and marital status.
Introduction: Depression in the elderly has disastrous implications that not only lowers quality of life, but it also has an impact on the prognosis of other chronic conditions, exacerbating disability. As estimated by WHO, depression occurs in 7% of the general elderly population and the same in India is 9.3%. This study was undertaken to know the prevalence of depression among the geriatric age group with Dependency as risk factor in villages of our field practice area.
Methodology: It’s a Cross sectional study of 251 geriatric population. The selection of villages was done through Simple random sampling and all the villagers of age above 60 years were included in the study. The identification of depression was carried out using the Geriatric Depression Scale (GDS). The dependency was calculated using the Barthel Index
Results: From our study it is found that the prevalence of depression and dependency among the geriatric population in our study area is 43% and 29% respectively. The Barthel score among depressed were also less(median (IQR) Barthel score: depressed - 65(50,85) ; not depressed -70(60,89); p value - <0.001 ). Nearly 80% of the females who were categorized as dependent were depressed (p value – 0.006). Multivariate logistic regression for depression upon Barthel score, age and gender shown significance OR for Barthel score but later after adjusting for other two factors, the AOR was not significant.
Conclusion: The study makes us understand the importance of analysing the dependency status while screening for the mental health status of the elderly person. This also gives us the idea to include the same in the interventions those are carried for improving the quality of life of elderly
Key Words: Geriatric, depression, dependency, GDS, Barthel index
ADVANCED NURSING RESEARCH
1
ADVANCED NURSING RESEARCH 2
Evidence Based Practice Grant Proposal
Table of Contents
3
4
5
6
6
7
8
8
9
9
9
11
11
11
11
12
12
13
14
14
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19
21
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Grant Proposal-Assessing the role of stigma towards mental health patients in help seeking
Study problem
There are several studies that have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. For example, Verhaeghe et al., (2014), captures in a publication in reference to a study that he conducted that stigmatization towards mental health patients has been there even as early is in the 18th Century. People were hesitant to interact with people termed or perceived to have mental health conditions.
Stigmatization has resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Timmermann, Uhrenfeldt and Birkelund (2014), have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth. 1. Purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to formulate ways in which the stigma that is around mental health is done away with to enable as many people suffering from mental health complications to seek medical help.2. Background
Mental health is crucial in every stage of life. It is defined as the state of psychological well-being whereby the individual realizes a satisfactory integration instinctual drive acceptable to both oneself and his or her social setting (Ritchie & Roser, 2018). The status of mental health influences physical health, relationships, and most importantly day-to-day life. Mental health problems arise when there is a disruption in mental well-being.
The risk factors to mental health problems are not limited and therefore everyone is entitled to the problem irrespective of gender, economic status, and ethnic group. For example, data shows that in America one out of five individuals experience mental health problems annually; with mental disorders being recognized as the leading cause of disability not only in the United States but also globally (Ritchie & Roser, 2018). Mental health disorders are seen to be complex and of many forms such as anxiety, mood, and schizophren.
How treating psychological and social needs can improve the daily lives of the chronically ill, creating a new model for outpatient care, quality of life and aging, humanization of care, streamlining responsibilities of hospital staff and news around the world.
Quality Of Life, Spirituality and Social Support among Caregivers of Cancer P...iosrjce
Caregiving can be both rewarding and challenging. Literature suggests that family caregivers may
experience increased symptoms of psychological and social malfunctioning. However, it may also provide one
with opportunities to renew relationships or feel connected to a higher power. The current study is an attempt to
investigate how caregiving influences a person’s general wellbeing. The sample consisted of 25 caregivers of
cancer patients and 25 appropriately matched control.World Health Organization- QOL (1991),
Multidimensional Scale of Perceived Social Support by Zimet, et al (1988) and Spiritual Perspective Scale by
Reed (1986) were used to asses QOL, Social support and spirituality respectively. The obtained data was
analyzed in SPSS using independent sample t-test. Results indicated a significant difference between Caregivers
and the control group on QOL, spirituality and social support.
Study of Depression and Role of Support Groups in Its Management among HIV/AI...paperpublications3
Abstract: The acquired immuno-deficiency syndrome (AIDS) is one of the most dreaded entities that modern medicine has ever had to tackle. Depression is the most frequently observed psychiatric disorder among HIV/AIDS patients. It interferes with all aspects of living and may have a severe negative impact on quality of life. An HIV positive diagnosis is a life changing event and may induce shock, a sense of helplessness, denial, and occasional self blame. Belonging to a support group may be of assistance in preventing depression. PLWHA should be advised to belong to a support group. To improve the role of support groups their sizes should be limited.
Methodology: Aim of the Study: To determine the prevalence of depression among HIV positives and to find out the role Support group in reduction of depression.
Study Setting & Design: A tertiary care hospital, and Positive networks, Cross sectional study.
Sample Size: Study constituted of 100 HIV positive patients, depression was assessed using BDI, The data was collected using a pretested semi structured preformed, after obtaining written informed consent.
Sampling Method: Random Sample
Statistical analysis: Data was be analyzed using SPSS version 11.5, statistical test ANOVA and CHI-SQUARE will be used and P less than 0.05 taken as significant.
Exclusion criteria: people below the age of 18 years and above 65 years patients, who are not given consent.
Study Duration: 6 Months
Data Collection: The data was collected using a BDI –Beck Depression Inventory Scale (annexure 1) The HIV positive subjects were invited to participate in the interview and those who presented for treatment, People were invited to participate in the interview and after obtaining a written informed consent the subjects were recruited in the study. The study details were explained to them that this procedure would not affect the scheduled times of their consultation. The interviews were conducted in medical consultation rooms by the investigator. Each interview lasted an average of 1 hour.
Results: The result showed was that statistically significant (p=0.002) depression among urban area.69.5% were depressed among primary education, 59.4% were depressed among 8-12, 100% were depressed those who are education above 12 standard. There is no statistically significant in education and depression.
62% were depressed daily waged, 61.1% were depressed among salaried, 83.3% were depressed among business, 84.6% were depressed among unemployed
There is no statistically significant depression based on their education.
Unmarried 100% were depressed, 67.3% married were depressed, 100% depressed among divorced, 100%were depressed among spouse, 64.1% were depressed among widowed. There is no statistically significant between depression and marital status.
Introduction: Depression in the elderly has disastrous implications that not only lowers quality of life, but it also has an impact on the prognosis of other chronic conditions, exacerbating disability. As estimated by WHO, depression occurs in 7% of the general elderly population and the same in India is 9.3%. This study was undertaken to know the prevalence of depression among the geriatric age group with Dependency as risk factor in villages of our field practice area.
Methodology: It’s a Cross sectional study of 251 geriatric population. The selection of villages was done through Simple random sampling and all the villagers of age above 60 years were included in the study. The identification of depression was carried out using the Geriatric Depression Scale (GDS). The dependency was calculated using the Barthel Index
Results: From our study it is found that the prevalence of depression and dependency among the geriatric population in our study area is 43% and 29% respectively. The Barthel score among depressed were also less(median (IQR) Barthel score: depressed - 65(50,85) ; not depressed -70(60,89); p value - <0.001 ). Nearly 80% of the females who were categorized as dependent were depressed (p value – 0.006). Multivariate logistic regression for depression upon Barthel score, age and gender shown significance OR for Barthel score but later after adjusting for other two factors, the AOR was not significant.
Conclusion: The study makes us understand the importance of analysing the dependency status while screening for the mental health status of the elderly person. This also gives us the idea to include the same in the interventions those are carried for improving the quality of life of elderly
Key Words: Geriatric, depression, dependency, GDS, Barthel index
ADVANCED NURSING RESEARCH
1
ADVANCED NURSING RESEARCH 2
Evidence Based Practice Grant Proposal
Table of Contents
3
4
5
6
6
7
8
8
9
9
9
11
11
11
11
12
12
13
14
14
19
19
21
32
34
Grant Proposal-Assessing the role of stigma towards mental health patients in help seeking
Study problem
There are several studies that have shown that stigmatization towards mental health patients have been present throughout history and even despite the evolution in modern medicine and advanced treatment. For example, Verhaeghe et al., (2014), captures in a publication in reference to a study that he conducted that stigmatization towards mental health patients has been there even as early is in the 18th Century. People were hesitant to interact with people termed or perceived to have mental health conditions.
Stigmatization has resulted from the belief that those with mental problem are aggressive and dangerous creating a social distance (Szeto et al., 2017). Also, mental health-related stigma has become of major concern as it creates crucial barriers to access treatment and quality care since it not only influences the behaviour of the patients but also the attitude of the providers hence impacting help-seeking. Timmermann, Uhrenfeldt and Birkelund (2014), have identified stigma as a barrier that is of significance to care or help seeking while the extent to which it still remains a barrier have not been reviewed deeply. Therefore, this study will assess the role contributed by stigma in help seeking in depth. 1. Purpose
The intention of the research study is to review the association between stigma, mental illness and help seeking in order to formulate ways in which the stigma that is around mental health is done away with to enable as many people suffering from mental health complications to seek medical help.2. Background
Mental health is crucial in every stage of life. It is defined as the state of psychological well-being whereby the individual realizes a satisfactory integration instinctual drive acceptable to both oneself and his or her social setting (Ritchie & Roser, 2018). The status of mental health influences physical health, relationships, and most importantly day-to-day life. Mental health problems arise when there is a disruption in mental well-being.
The risk factors to mental health problems are not limited and therefore everyone is entitled to the problem irrespective of gender, economic status, and ethnic group. For example, data shows that in America one out of five individuals experience mental health problems annually; with mental disorders being recognized as the leading cause of disability not only in the United States but also globally (Ritchie & Roser, 2018). Mental health disorders are seen to be complex and of many forms such as anxiety, mood, and schizophren.
How treating psychological and social needs can improve the daily lives of the chronically ill, creating a new model for outpatient care, quality of life and aging, humanization of care, streamlining responsibilities of hospital staff and news around the world.
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutriti...CrimsonPublishersIOD
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutritional Monitoring by Géssika Dutra de Andrade Reis, Virginia Souza Santos* and Martha Elisa Ferreira de Almeida in Interventions in Obesity & Diabetes
In response to concerns around the high prevalence of depression and anxiety experienced by people with HIV, Positive Life NSW facilitated a community consultation with the aims of uncovering the mental health needs of people with HIV, their resilience or otherwise in meeting challenges & the barriers to achieving good mental health. Kathy Triffitt (Manager, Health Promotion, Positive Life NSW) outlines the consultation process and outcomes from the service provider forum which considered the implications for community & clinical interventions, care & support, advocacy & health promotion.
This presentation was given at the AFAO Positive Services Forum 2012.
Social support among the Caregivers of Persons Living with Cancerinventionjournals
:The social support emphasize as the support given to any person in a troublesome or burdensome situation by family members, relatives as well as resources exerted by social connections, is effective in promoting physical health and feeling oneself good. The present study consisted of 300 caregivers of persons with cancer was selected based on simple random sampling, and with inclusion and exclusion criteria. Those patients satisfying the inclusion and exclusion criteria and attending both outpatient and inpatient services of cancer specialty hospital in KIDWAI Bangalore, Karnataka were selected randomly. The data was collected from the patients & caregivers of persons living with cancer who fulfill the inclusion/exclusion criteria were taken up for the study after their consent. Multidimensional Scale of Perceived Social Support (Zimet et al, 1998) was administered to understand Perceived Social Support. The interviews and the instruments were administered by research experts.The Results suggest that there were poor social support found in caregivers of married, female, belong to rural domicile, illiterate, and,caregivers who were not heard about the treatment of cancer.
Running Head FINDINGS USED TO MAKE PUBLIC HEALTH PLANNING AND POL.docxcowinhelen
Running Head: FINDINGS USED TO MAKE PUBLIC HEALTH PLANNING AND POLICY DECISIONS 5
Findings Used to Make Public Health Planning and Policy Decisions
Unit 4 - HA560
March 28, 2016
There has been increased concern among policy makers, scientists and communities that health is greatly affected by a number of factors that occur in a person’s lifetime and in multi levels. Prevention is sententious to curb occurrence of any disease within the population, and it has to come first even if access to quality healthcare services is provided. To adequately promote health and prevent diseases, certain policies and factors need to be addressed mostly factors that are related to health behaviors.
Social psychology is all about understanding individuals’ behavior specifically in a social setting. Basically, social psychology focuses on factors that influence people to behave in certain ways in presence of others. The two greatest contributors in the field of social psychology were Allport (1920) and Bandura (1963). To begin with, according to Allport; he argued that the interaction of individuals with others or the presence of social groups can encourage the development of certain behaviors (Kassin, 2014). This is what Allport referred to as social facilitation, in his research he identified that an audience will facilitate the performance of an actor in a well learnt and understood task; however the performance of the same actor will decrease in performance on difficult tasks which are newly learnt, and this is contributed by social inhibition. The second contributor in the field of social psychology is Bandura (1963), in his work he developed a notion that behavior in the social world could be possibly modeled, and this is what he referred to as social learning theory. He gave his explanation with three groups of children who were watching a video where in the video an adult showed aggressiveness towards a “bobo doll” and the adults who displayed such behavior were awarded by another adult or were just punished. Therefore Bandura found that children who saw the adult being rewarded were found to be more likely to imitate that adult’s behavior.
Certain theories plays important roles in health assessment, and a theory is defined as a collection of concepts in specific area of concern or interest in the world that need explanations, intervening and prediction. Theories need to be backed up with evidence that tend to explain why things will happen in relation to current situations, and followed with some actions to turn situations in certain desirable ways. Health assessment can be defined as a plan of care that recognizes specific person’s health needs and how such needs will be addressed by healthcare system or any other health institutions (Jarvis, 2008). Generally, health assessment is the evaluation of health status through examination of physical and psychological concerns after looking at the health history of the victim assess ...
Running Head ADVANCED NURSING RESEARCH1ADVANCED NURSING RES.docxtoddr4
Running Head: ADVANCED NURSING RESEARCH
1
ADVANCED NURSING RESEARCH
4
Advanced Nursing Research (Research Study)
Student Name
Institution-Affiliated
Different Parts of a Research Study
Research topic
A systematic review of the association between stigma and or on help-seeking among mental health patients.
Research Problem
Stigma or the process of labelling, discrimination and prejudice towards individuals suffering from mental health problems is considered to have numerous adverse consequences compared to the health conditions themselves according to Thornicroft, Mehta, Clement, Evans-Lacko, Doherty, Rose & Henderson, (2016). In addition, research has found stigma to be responsible for the failure of numerous individuals suffering from mental health to seek help from both their close relatives or trusted individuals and from healthcare providers (Clement, Schauman, Graham, Maggioni, Evans-Lacko, Bezborodovs, Thornicroft, 2015).
Given an increase in mental health disorders and the challenges that such disorders pose to both individuals and society, numerous studies have been conducted to examine the association between stigma and help-seeking among mental health patients. However, research has largely focused on the attitudes that constitute stigma towards mental health patients and little on the interventions required to reduce or eradicate stigma. Moreover, since the failure to reduce stigma prevents mental health patients from seeking help and hence worsening their conditions, there is need for further studies regarding the association between stigma and help-seeking and the need to reduce stigma making the study not only relevant but significant.
Research purpose
The purpose of this paper is to explore the association between stigma and help-seeking among mental health patients and to identify proven strategies or actionable recommendation for reducing stigma.
Research objectives
The objective of the study will be to (1) Explore the extent to which stigma posses a barrier to help-seeking among mental health patients, (2) Identify whether stigma affects certain populations more than others and (3) propose strategies that can help reduce stigma.
Research question
The study will aim to answer the following questions (1) What is the association between stigma towards mental health patients and help-seeking? (2) To what extent does stigma constitute a barrier to the search for help among mental health patients and (3) Are there populations that are more deterred from seeking help due to stigma?
Research hypothesis
Ho: Stigma towards mental health patients deters them from seeking help
Ha: There is no association between stigma and the search for help among mental health patients.
In addition, the study hypothesizes that a reduction in stigma would result in increased help-seeking among mental health patients.
References
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., ... & Thornicroft, G. (2.
Abstract—Spiritual health is not given its due importance since long time. But nowadays modern medicine is seen in relation to spiritual health and studies were conducted to find out its effect in various diseases. So this study was conducted on elderly aimed to assess the spiritual health and its association with psycho wellness. For study purpose, 30 cluster technique to identify houses with elderly (≥60 years) in Municipal Corporation area of Jaipur City. After collecting general information Spiritual Health Assessment Scale (SHAS) was used to assess spiritual health and Modified Mini Screen (MMS) was used to assess psycho-wellness in elderly. Data were anlysed and inferred by Chi-square test and ANOVA with Post-hoc Tukey test. Majority of elderly were having poor spiritual health and this spiritual health was strongly associated with psycho-wellness in elderly. Poorer the spiritual health of elderly leads to poorer the psycho-wellness in elderly.
Not Only Depressed. A Pilot Study on Quality of Life of Women with Urinary In...inventionjournals
The urinary incontinence syndrome is a common disease, whose etiology is still unclear. The survey of psychological variables generally highlights a poverty quality of life, depressive features, and difficulties in sexual life. The goal of this pilot study – sample of 97 women with urinary incontinence - is to give these patients a more complex picture, evaluating aspects of pain (depression and other mental illness indicators, alexithymia, sex life), but also investigating if there are good aspects in their life which act as counterweight. It 's so emerged as the patients lead a healthy life and have generally good relations, it is a good couple relationship, both good relationships with parents and have different interests in life. In particular, the women with self-interest are not depressed and have no traits of alexithymia. It is so important in clinical practice to not take for granted the presence of a psychological suffering and rather encourage patients to cultivate self-interests.
O R I G I N A L P A P E REvaluating a Measure of Social He.docxhopeaustin33688
O R I G I N A L P A P E R
Evaluating a Measure of Social Health Derived from Two Mental
Health Recovery Measures: The California Quality of Life
(CA-QOL) and Mental Health Statistics Improvement Program
Consumer Survey (MHSIP)
Jordan A. Carlson • Andrew J. Sarkin •
Ashley E. Levack • Marisa Sklar • Steven R. Tally •
Todd P. Gilmer • Erik J. Groessl
Received: 20 August 2009 / Accepted: 16 September 2010 / Published online: 28 September 2010
� The Author(s) 2010. This article is published with open access at Springerlink.com
Abstract Social health is important to measure when
assessing outcomes in community mental health. Our
objective was to validate social health scales using items
from two broader commonly used measures that assess
mental health outcomes. Participants were 609 adults
receiving psychological treatment services. Items were
identified from the California Quality of Life (CA-QOL)
and Mental Health Statistics Improvement Program
(MHSIP) outcome measures by their conceptual corre-
spondence with social health and compared to the Social
Functioning Questionnaire (SFQ) using correlational
analyses. Pearson correlations for the identified CA-QOL
and MSHIP items with the SFQ ranged from .42 to .62, and
the identified scale scores produced Pearson correlation
coefficients of .56, .70, and, .70 with the SFQ. Concurrent
validity with social health was supported for the identified
scales. The current inclusion of these assessment tools
allows community mental health programs to include
social health in their assessments.
Keywords Psychiatry � Assessment � Treatment �
Mental illness � Functioning
Introduction
Social health is known for being a key tenet of recovery in
those with mental illness. Included in a broadening of the
concept of health in the middle of the 20th century (World
Health Organization 1949), the concept of social health
generally focuses on social activities, social well-being,
social network quality, interpersonal communication,
social support, and social role participation and satisfaction
(Castel et al. 2008). Russell (1973) has defined social
health as ‘‘that dimension of an individual’s well-being that
concerns how s/he gets along with other people, how other
people react to her/him, and how s/he interacts with social
institutions and social mores.’’ In 1957, Greenblatt pro-
posed five principal areas comprising recovery from mental
illness. Four of the five principal areas, vocational capacity,
educational capacity, family, and social aspects of the
community, address the constructs of social health. More
recently, Liberman (2008) suggests recovery from mental
illness be defined as a 2-year duration of satisfying peer
relationships, cordial family relations, and engagement in
productive activity (e.g. work or school), amongst other
things. Additionally, Luecht and Lasser (2006) believe
recovery from mental illness consists not only of symptom
remission, but quality .
HEALTH CARE MANAGEMENTUNIT I Part IV JOURNAL Instruct.docxpooleavelina
HEALTH CARE MANAGEMENT
UNIT I Part IV JOURNAL Instruction:
You are the newly appointed compliance officer for a major medical center in Chicago. One key objective of your compliance plan is to create a secure and effective reporting process so that you can avoid qui tam lawsuits against your hospital. Your goal is to have zero qui tam lawsuits during your tenure as compliance officer. What steps will you take to avoid such lawsuits against your facility?
Your journal entry must be at least 200 words. No references or citations are necessary. SIMPLE SHEET / NO HEAD RUNNING / NOTHING JUST 200 WORDS _____________________________________________________________________________ DO NOT MIXED Part I & PART II. There are two different assignments. Posted separated.
_____________________________________________________________________________
UNIT I Part IV Instructions
You have just been hired as a compliance officer for your healthcare organization, and you have discovered that the food services department of the organization is not in compliance with state food safety regulations for healthcare organizations. The board of directors has requested a report from you and your team that contains an outline of the issues that have been occurring within the food services department that have caused it to become noncompliant, a plan to bring the department into compliance, and a description of how you and your team plan to maintain the department’s compliance in the future.
Your report should cover the following topics:
· a description of the foodborne hazards that have occurred within the healthcare organization that have caused it to become noncompliant,
· why it is important for patient recovery that the food service department maintain food safety and become complaint with state regulations,
· the key elements of your compliance plan, and
· the importance of internal audits and project management in the creation, implementation, and maintenance of the compliance plan.
Your report should consist of at least three pages, not including a title page and reference pages. Please be sure to use APA formatting for all sources, including your textbook. You must use at least three sources, one of which can be your textbook.
Course Textbook(s)
Safian, S. C. (2014). Fundamentals of health care administration. Upper Saddle River, NJ: Pearson.
Randomized Clinical Trial of Cognitive Behavioral Social Skills Training
for Schizophrenia: Improvement in Functioning and Experiential
Negative Symptoms
Eric Granholm and Jason Holden
Veterans Affairs San Diego Healthcare System and University
of California, San Diego
Peter C. Link
Veterans Affairs San Diego Healthcare System
John R. McQuaid
Veterans Affairs San Francisco Medical Center and University of California, San Francisco
Objective: Identifying treatments to improve functioning and reduce negative symptoms in consumers
with schizophrenia is of high publ ...
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxglendar3
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxtodd581
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
The First session in the Epidemiology Lecture Series
Defining Epidemiology. Keywords in the definition. Aims of Epidemiology, Epidemiological Approach & Reasoning
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutriti...CrimsonPublishersIOD
Levels of Anxiety and Quality of Life in Overweight Individuals Under Nutritional Monitoring by Géssika Dutra de Andrade Reis, Virginia Souza Santos* and Martha Elisa Ferreira de Almeida in Interventions in Obesity & Diabetes
In response to concerns around the high prevalence of depression and anxiety experienced by people with HIV, Positive Life NSW facilitated a community consultation with the aims of uncovering the mental health needs of people with HIV, their resilience or otherwise in meeting challenges & the barriers to achieving good mental health. Kathy Triffitt (Manager, Health Promotion, Positive Life NSW) outlines the consultation process and outcomes from the service provider forum which considered the implications for community & clinical interventions, care & support, advocacy & health promotion.
This presentation was given at the AFAO Positive Services Forum 2012.
Social support among the Caregivers of Persons Living with Cancerinventionjournals
:The social support emphasize as the support given to any person in a troublesome or burdensome situation by family members, relatives as well as resources exerted by social connections, is effective in promoting physical health and feeling oneself good. The present study consisted of 300 caregivers of persons with cancer was selected based on simple random sampling, and with inclusion and exclusion criteria. Those patients satisfying the inclusion and exclusion criteria and attending both outpatient and inpatient services of cancer specialty hospital in KIDWAI Bangalore, Karnataka were selected randomly. The data was collected from the patients & caregivers of persons living with cancer who fulfill the inclusion/exclusion criteria were taken up for the study after their consent. Multidimensional Scale of Perceived Social Support (Zimet et al, 1998) was administered to understand Perceived Social Support. The interviews and the instruments were administered by research experts.The Results suggest that there were poor social support found in caregivers of married, female, belong to rural domicile, illiterate, and,caregivers who were not heard about the treatment of cancer.
Running Head FINDINGS USED TO MAKE PUBLIC HEALTH PLANNING AND POL.docxcowinhelen
Running Head: FINDINGS USED TO MAKE PUBLIC HEALTH PLANNING AND POLICY DECISIONS 5
Findings Used to Make Public Health Planning and Policy Decisions
Unit 4 - HA560
March 28, 2016
There has been increased concern among policy makers, scientists and communities that health is greatly affected by a number of factors that occur in a person’s lifetime and in multi levels. Prevention is sententious to curb occurrence of any disease within the population, and it has to come first even if access to quality healthcare services is provided. To adequately promote health and prevent diseases, certain policies and factors need to be addressed mostly factors that are related to health behaviors.
Social psychology is all about understanding individuals’ behavior specifically in a social setting. Basically, social psychology focuses on factors that influence people to behave in certain ways in presence of others. The two greatest contributors in the field of social psychology were Allport (1920) and Bandura (1963). To begin with, according to Allport; he argued that the interaction of individuals with others or the presence of social groups can encourage the development of certain behaviors (Kassin, 2014). This is what Allport referred to as social facilitation, in his research he identified that an audience will facilitate the performance of an actor in a well learnt and understood task; however the performance of the same actor will decrease in performance on difficult tasks which are newly learnt, and this is contributed by social inhibition. The second contributor in the field of social psychology is Bandura (1963), in his work he developed a notion that behavior in the social world could be possibly modeled, and this is what he referred to as social learning theory. He gave his explanation with three groups of children who were watching a video where in the video an adult showed aggressiveness towards a “bobo doll” and the adults who displayed such behavior were awarded by another adult or were just punished. Therefore Bandura found that children who saw the adult being rewarded were found to be more likely to imitate that adult’s behavior.
Certain theories plays important roles in health assessment, and a theory is defined as a collection of concepts in specific area of concern or interest in the world that need explanations, intervening and prediction. Theories need to be backed up with evidence that tend to explain why things will happen in relation to current situations, and followed with some actions to turn situations in certain desirable ways. Health assessment can be defined as a plan of care that recognizes specific person’s health needs and how such needs will be addressed by healthcare system or any other health institutions (Jarvis, 2008). Generally, health assessment is the evaluation of health status through examination of physical and psychological concerns after looking at the health history of the victim assess ...
Running Head ADVANCED NURSING RESEARCH1ADVANCED NURSING RES.docxtoddr4
Running Head: ADVANCED NURSING RESEARCH
1
ADVANCED NURSING RESEARCH
4
Advanced Nursing Research (Research Study)
Student Name
Institution-Affiliated
Different Parts of a Research Study
Research topic
A systematic review of the association between stigma and or on help-seeking among mental health patients.
Research Problem
Stigma or the process of labelling, discrimination and prejudice towards individuals suffering from mental health problems is considered to have numerous adverse consequences compared to the health conditions themselves according to Thornicroft, Mehta, Clement, Evans-Lacko, Doherty, Rose & Henderson, (2016). In addition, research has found stigma to be responsible for the failure of numerous individuals suffering from mental health to seek help from both their close relatives or trusted individuals and from healthcare providers (Clement, Schauman, Graham, Maggioni, Evans-Lacko, Bezborodovs, Thornicroft, 2015).
Given an increase in mental health disorders and the challenges that such disorders pose to both individuals and society, numerous studies have been conducted to examine the association between stigma and help-seeking among mental health patients. However, research has largely focused on the attitudes that constitute stigma towards mental health patients and little on the interventions required to reduce or eradicate stigma. Moreover, since the failure to reduce stigma prevents mental health patients from seeking help and hence worsening their conditions, there is need for further studies regarding the association between stigma and help-seeking and the need to reduce stigma making the study not only relevant but significant.
Research purpose
The purpose of this paper is to explore the association between stigma and help-seeking among mental health patients and to identify proven strategies or actionable recommendation for reducing stigma.
Research objectives
The objective of the study will be to (1) Explore the extent to which stigma posses a barrier to help-seeking among mental health patients, (2) Identify whether stigma affects certain populations more than others and (3) propose strategies that can help reduce stigma.
Research question
The study will aim to answer the following questions (1) What is the association between stigma towards mental health patients and help-seeking? (2) To what extent does stigma constitute a barrier to the search for help among mental health patients and (3) Are there populations that are more deterred from seeking help due to stigma?
Research hypothesis
Ho: Stigma towards mental health patients deters them from seeking help
Ha: There is no association between stigma and the search for help among mental health patients.
In addition, the study hypothesizes that a reduction in stigma would result in increased help-seeking among mental health patients.
References
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., ... & Thornicroft, G. (2.
Abstract—Spiritual health is not given its due importance since long time. But nowadays modern medicine is seen in relation to spiritual health and studies were conducted to find out its effect in various diseases. So this study was conducted on elderly aimed to assess the spiritual health and its association with psycho wellness. For study purpose, 30 cluster technique to identify houses with elderly (≥60 years) in Municipal Corporation area of Jaipur City. After collecting general information Spiritual Health Assessment Scale (SHAS) was used to assess spiritual health and Modified Mini Screen (MMS) was used to assess psycho-wellness in elderly. Data were anlysed and inferred by Chi-square test and ANOVA with Post-hoc Tukey test. Majority of elderly were having poor spiritual health and this spiritual health was strongly associated with psycho-wellness in elderly. Poorer the spiritual health of elderly leads to poorer the psycho-wellness in elderly.
Not Only Depressed. A Pilot Study on Quality of Life of Women with Urinary In...inventionjournals
The urinary incontinence syndrome is a common disease, whose etiology is still unclear. The survey of psychological variables generally highlights a poverty quality of life, depressive features, and difficulties in sexual life. The goal of this pilot study – sample of 97 women with urinary incontinence - is to give these patients a more complex picture, evaluating aspects of pain (depression and other mental illness indicators, alexithymia, sex life), but also investigating if there are good aspects in their life which act as counterweight. It 's so emerged as the patients lead a healthy life and have generally good relations, it is a good couple relationship, both good relationships with parents and have different interests in life. In particular, the women with self-interest are not depressed and have no traits of alexithymia. It is so important in clinical practice to not take for granted the presence of a psychological suffering and rather encourage patients to cultivate self-interests.
O R I G I N A L P A P E REvaluating a Measure of Social He.docxhopeaustin33688
O R I G I N A L P A P E R
Evaluating a Measure of Social Health Derived from Two Mental
Health Recovery Measures: The California Quality of Life
(CA-QOL) and Mental Health Statistics Improvement Program
Consumer Survey (MHSIP)
Jordan A. Carlson • Andrew J. Sarkin •
Ashley E. Levack • Marisa Sklar • Steven R. Tally •
Todd P. Gilmer • Erik J. Groessl
Received: 20 August 2009 / Accepted: 16 September 2010 / Published online: 28 September 2010
� The Author(s) 2010. This article is published with open access at Springerlink.com
Abstract Social health is important to measure when
assessing outcomes in community mental health. Our
objective was to validate social health scales using items
from two broader commonly used measures that assess
mental health outcomes. Participants were 609 adults
receiving psychological treatment services. Items were
identified from the California Quality of Life (CA-QOL)
and Mental Health Statistics Improvement Program
(MHSIP) outcome measures by their conceptual corre-
spondence with social health and compared to the Social
Functioning Questionnaire (SFQ) using correlational
analyses. Pearson correlations for the identified CA-QOL
and MSHIP items with the SFQ ranged from .42 to .62, and
the identified scale scores produced Pearson correlation
coefficients of .56, .70, and, .70 with the SFQ. Concurrent
validity with social health was supported for the identified
scales. The current inclusion of these assessment tools
allows community mental health programs to include
social health in their assessments.
Keywords Psychiatry � Assessment � Treatment �
Mental illness � Functioning
Introduction
Social health is known for being a key tenet of recovery in
those with mental illness. Included in a broadening of the
concept of health in the middle of the 20th century (World
Health Organization 1949), the concept of social health
generally focuses on social activities, social well-being,
social network quality, interpersonal communication,
social support, and social role participation and satisfaction
(Castel et al. 2008). Russell (1973) has defined social
health as ‘‘that dimension of an individual’s well-being that
concerns how s/he gets along with other people, how other
people react to her/him, and how s/he interacts with social
institutions and social mores.’’ In 1957, Greenblatt pro-
posed five principal areas comprising recovery from mental
illness. Four of the five principal areas, vocational capacity,
educational capacity, family, and social aspects of the
community, address the constructs of social health. More
recently, Liberman (2008) suggests recovery from mental
illness be defined as a 2-year duration of satisfying peer
relationships, cordial family relations, and engagement in
productive activity (e.g. work or school), amongst other
things. Additionally, Luecht and Lasser (2006) believe
recovery from mental illness consists not only of symptom
remission, but quality .
HEALTH CARE MANAGEMENTUNIT I Part IV JOURNAL Instruct.docxpooleavelina
HEALTH CARE MANAGEMENT
UNIT I Part IV JOURNAL Instruction:
You are the newly appointed compliance officer for a major medical center in Chicago. One key objective of your compliance plan is to create a secure and effective reporting process so that you can avoid qui tam lawsuits against your hospital. Your goal is to have zero qui tam lawsuits during your tenure as compliance officer. What steps will you take to avoid such lawsuits against your facility?
Your journal entry must be at least 200 words. No references or citations are necessary. SIMPLE SHEET / NO HEAD RUNNING / NOTHING JUST 200 WORDS _____________________________________________________________________________ DO NOT MIXED Part I & PART II. There are two different assignments. Posted separated.
_____________________________________________________________________________
UNIT I Part IV Instructions
You have just been hired as a compliance officer for your healthcare organization, and you have discovered that the food services department of the organization is not in compliance with state food safety regulations for healthcare organizations. The board of directors has requested a report from you and your team that contains an outline of the issues that have been occurring within the food services department that have caused it to become noncompliant, a plan to bring the department into compliance, and a description of how you and your team plan to maintain the department’s compliance in the future.
Your report should cover the following topics:
· a description of the foodborne hazards that have occurred within the healthcare organization that have caused it to become noncompliant,
· why it is important for patient recovery that the food service department maintain food safety and become complaint with state regulations,
· the key elements of your compliance plan, and
· the importance of internal audits and project management in the creation, implementation, and maintenance of the compliance plan.
Your report should consist of at least three pages, not including a title page and reference pages. Please be sure to use APA formatting for all sources, including your textbook. You must use at least three sources, one of which can be your textbook.
Course Textbook(s)
Safian, S. C. (2014). Fundamentals of health care administration. Upper Saddle River, NJ: Pearson.
Randomized Clinical Trial of Cognitive Behavioral Social Skills Training
for Schizophrenia: Improvement in Functioning and Experiential
Negative Symptoms
Eric Granholm and Jason Holden
Veterans Affairs San Diego Healthcare System and University
of California, San Diego
Peter C. Link
Veterans Affairs San Diego Healthcare System
John R. McQuaid
Veterans Affairs San Francisco Medical Center and University of California, San Francisco
Objective: Identifying treatments to improve functioning and reduce negative symptoms in consumers
with schizophrenia is of high publ ...
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxglendar3
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
Running Head PICOT1PICOT4Comment by Crystal Bowm.docxtodd581
Running Head: PICOT 1
PICOT 4
Comment by Crystal Bowman: Hi Yeni…..You did a good job overall with your paper. I do not see an actual PICOT question presented so it is difficult to tell what your primary focus is. Please see the comments for feedback. Thanks, Prof Bowman & Tania
PicotPICOT
GCU NRS-490Yeni Hernandez
Yeni HernandezGrand Canyon University: NRS 490 Comment by tania: Incorrect title page format.
Title
Student’s Name
Grand Canyon University: course prefix and number
Date
December 9, 2018
Picot
This paper discusses the unprecedented complexities and issues related to dementia and particularly people living with dementia (PWD) and research in the field utilizing the quantitative measures to understand the severity of the symptoms as stipulated by Pan et al. (2013) of 51 patients with vascular dementia. The primary focus of the study is based on the demographics of old or aging populations who have been outlined as people at higher risks and prevalence of vascular and dementia complexities.
Problem/Patient Population
The research analysis presents the aging population as the primary population considering that dementia affects people in their senior years. The severities of the behavioral and psychological symptoms consistent with vascular dementia are outlined based on the metrics set through quantitative measures for 51 patients in three environments, diurnal, evening and nocturnal events. Considering that dementia dimension is mainly characterized by amnesia and memory loss the conflict in concern with this population, especially with the old or aging population, is presented through the effective delivery of care to and achieveing better patient outcomes for the PWD. patients. It is critical to note that dementia reduces the functionalities of the patients, thereby increasing the risks of other issues includingsuch as becoming unfit due to lack of exercise. among other concerns.
Intervention
For this particular group of patients, the intervention is solely based on improving outcomes and maintaining a comfortable lifestyle for the outlined patients at risks (Hughes & Common, 2015). The intervention is based on a combination of two aspects:; exercise and medication. By iIntegrating a routine exercises plan to for patients with dementia, it has been shown that exercise can to improve memory loss symptoms as well as keep improving the patient fitness. It has been shown that rRegular exercise results in an improvements of brain functions in two ways; both indirect methods and direct methods. Indirectly exercise helps by stimulatinge and improvinge mood, and sleep, as well as reducinge stress and anxiety. Theseis is are common characteristics of vascular dementia in among the older populationgenerations. Directly the benefits are derived from the ability of exercise to reduce insulin resistance, decrease reducing inflammation and stimulateion of the growth factors. In the older population people with dementia, “chem.
The First session in the Epidemiology Lecture Series
Defining Epidemiology. Keywords in the definition. Aims of Epidemiology, Epidemiological Approach & Reasoning
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
1. Depression, Social Support
and Quality of life in patients
with Diabetes
MUHAMMAD IQBAL
SUPERVISOR: MR. MESAM ALI
LAHORE SCHOOL OF PROFESSIONAL STUDIES , THE UNIVERSITY OF LAHORE
2. Introduction
Diabetes is a chronic metabolic disease which emerges either when the pancreas is
able to produce sufficient levels of insulin for the blood or when the body is
metabolize insulin. Insulin is a specialized hormone which is involved in the
blood glucose levels
3. Diabetes Types
Type 1 diabetes which was previously referred to as insulin dependent diabetes is marked
by deficient levels of insulin production and in order to ensure efficient physiological
functioning of the patient, a daily administration of insulin is needed.
Type 2 diabetes, also called non-insulin dependent diabetes, results from the inability of the
body to use insulin
4. Global Prevalence of Diabetes
The prevalence for diabetes in all age groups has been estimated to be
about 2.8 % and it is now being estimated that the prevalence is going to
increase to 4.4 % as of 2030.
The total number of individuals diagnosed with the condition are expected
to increase from 171 million in 2000 to 366 million till 2030
5. Depression
a negative affective state, ranging from unhappiness and discontent to an extreme
feeling of sadness, pessimism, and despondency, that interferes with daily life.
Various physical, cognitive, and social changes also tend to co-occur, including
altered eating or sleeping habits, lack of energy or motivation, difficulty
concentrating or making decisions, and withdrawal from social activities. It is
symptomatic of a number of mental health disorders. (APA Dictionary of
Psychology)
6. Quality of Life
the extent to which a person obtains satisfaction from life. The following are
important for a good quality of life: emotional, material, and physical well-being;
engagement in interpersonal relations; opportunities for personal (e.g., skill)
development; exercising rights and making self-determining lifestyle choices; and
participation in society. Enhancing quality of life is a particular concern for those
with chronic disease or developmental and other disabilities, for those undergoing
medical or psychological treatment, and for the aged. (APA Dictionary of
Psychology)
7. Social Support
the provision of assistance or comfort to others, typically to help them cope with biological,
psychological, and social stressors. Support may arise from any interpersonal relationship in an
individual’s social network, involving family members, friends, neighbors, religious institutions,
colleagues, caregivers, or support groups. It may take the form of practical help (e.g., doing chores,
offering advice), tangible support that involves giving money or other direct material assistance,
and emotional support that allows the individual to feel valued, accepted, and understood.
(APA Dictionary of Psychology)
8. Literature Review
Amir et al. (2019) reported that the prevalence of Type 2 Diabetes in
Pakistan 16.98 % while the prevalence of pre-diabetes is about 10.98 % with
the risk of diabetes being 2.68 times higher in those having a family history
of diabetes.
9. Literature Review
Levy et al. (2017) studied the role of social support and depression in
functionality disability of diabetics. Furthermore, the role of generalized
anxiety disorder in these associations was documented. Findings showed
that relative to individuals without diabetes, those diagnosed as having
diabetes have a higher probability of experiencing comorbid depression,
generalized anxiety and other related conditions.
10. Rationale of the Study
The purpose of this study is to explore the relationship between Depression,
Social Support and Quality of life in patients with Diabetes in District
Headquarter Hospital Sheikhupura using a representative population
sample. the current study will enhance and promote the psychological
aspects.
11. Aims & Objectives (cont)
To contribute to the gap in the literature with regard to depression, social support
and quality of life in diabetics
To assess and identify the biopsychosocial determinants of quality of life in
diabetics
To assess the relationship among depression, social support and quality of life
To determine the predictive influence of depression and social support on quality
of life
12. Aims & Objectives
To study the mediating influence of social support on the relationship between
depression and quality of life
To identify and assess gender differences on social support, depression and
quality of life
13. Hypotheses
There would be a significant positive relationship between social support and quality of life in
diabetics
There would be a significant negative relationship between depression with social support and
quality of life
There would be significant gender differences among depression, social support and quality of life
Social support would have a mediating influence on the relationship between depression and
quality of life
Socio-demographic variables, depression and support would significantly predict quality of life
14. Methodology
Research Design: descriptive cross-sectional research design
Sampling Technique: Simple random sampling
Sample size: 200
Age Range: 28-60
15. Methodology
Variables
Independent variables
Depression would be independent variables.
Dependent variables
DM would be a dependent variable.
Mediating variables
Social support & Quality of Life would be a mediating variable.
16. Measures (cont)
Hamilton Depression Rating Scale:
The instrument has 21 items and is known for being the most widely used tool for
assessing clinical depression (Potts et al., 1990).
The scale was originally developed for being used with hospital inpatients, however, it was
later onwards modified for being used in other outpatient settings as well.
The alpha reliability of the scale is .91.
17. Measures (cont)
Multidimensional Scale of Perceived Social Support
MDSPSS is a measure used to assess social support through 12 items specifically
designed to identify the self-report of participants with regard to the level or degree
of support they receive from friends, family, colleagues, community etc. (Wilcox,
2010).
The alpha reliability of the scale is .74.
18. Measures (cont)
Flanagan’s Quality of Life Scale.
It is an instrument used to assess the global quality of life of individuals (Flanagan,
1970). It has a total of 15 items with five sub domains including physical and
material wellbeing, relations with others, community, social and civic activities. The
scale has also been adopted for usage with those who have chronic illnesses.
The alpha reliability of the scale is 0.82.
19. Ethical Considerations
The participants were informed about the purpose of the study.
They were assured about the confidentiality of their data and were also informed
about their right to refuse answering any question or exit the research setting at
any time.
The researcher had emphasized the beneficence of the participants and had also
provided counselling to a number of participants who had reported severe
depression.
20. Statistical Analysis
SPSS 21.0 was used for analysis of data. Pearson Product Moment
Correlation, Independent Sample t Test, stepwise regression and mediation
analysis were used.
21. Results
Reliability analysis was performed on study variables. The results showed that quality of life scale
had the highest reliability of .81 followed by multi-dimensional perceived social support scale with a
reliability of .79 and Hamilton depression rating scale with a reliability of .77.
22. Results
Pearson product moment correlation was performed to access the association among Depression, Social support and
Quality of life. The findings showed that there is a significant negative relationship between depression and quality of
life(r= -.44, p<.01). There is a negative association between Social support and depression (r= -.30, p<.01). It was also
found that there is a significant positive relationship between quality of life and social support(r= -.52, p<.01).
23. Results
Stepwise regression analysis was used for prediction of quality of life. The results shows that social support accounted for 26% variance on
quality of life (∆R²=.268). The results also shows that depression significantly predicted effect on quality of life and accounted for 9%
variance on quality of life (∆R²=.093). from the demographics of the participants, the regression analysis shows that gender was also the
predictor and accounted for 3% variance on quality of life ((∆R²=.03). altogether, depression, social support and gender predicted 38%
variance on quality of life of diabetic patients.
25. Results
Table 5 shows mean differences between male and females on social support, depression and quality of
life.
The results indicated that there were significant differences between males and females on social support
(t=.28, p<.01), depression (t=1.19, p<0.01) and quality of life (t=2.06, p<0.5).
The results from independent t-test also shows that male diabetic participants reported more score in
depression (M=10.03, SD=5.45), quality of life (M=89.68, SD=12.12) and social support (M=65.5,
SD=1.57) as compared to female diabetic participants who scored (M=9.24, SD=3.62) on depression,
(M=86.30, SD=11.08) on quality of life and (M=65.14, SD= 7.08) on social support.
27. Results
Table 6 shows mean differences of exercise on social support, depression and quality of life.
The results indicated that there were significant differences between males and females on social support
(t=-2.79, p<.01), depression (t=7.01, p<0.01) and quality of life (t=3.84, p<0.1).
The results from independent t-test also shows that diabetic participants who exercise daily reported
more score in quality of life (M=95.04, SD=9.76) and social support (M=68.8, SD=9.92) as compared to
diabetic participants who didn’t exercise daily scored (M=84.34, SD=10.08) on quality of life and
(M=63.51, SD= 7.84) on social support. While on the other hand,
the participants with daily exercise had lesser while lower score on depression scores (M=8.4, SD=4.3) as
compared to individuals with no daily exercise (M=10.3, SD=4.8)
29. Results (cont)
In terms of the current investigation, Preacher and Hayes (2008) bootstrapping
method was used for the purpose of testing and observing whether
metacognition mediated the association between grit and life satisfaction.
Path c in the table shows the predictive association between depression as the
independent variable and life satisfaction as the outcome variable. There was a
significant predictive relationship between the two variables (B= -.80, p<.001).
30. Results (cont)
Path a shows relationship between depression as the predictor variable and social
support as the dependent variable. This path has shown that grit was significantly
associated with the metacognitive awareness variable i.e. (B= -.57, p<.001).
Path b in the table shows social support as the predictor of life satisfaction. There
was a significant predictive relationship that was seen (B=.55, p<.001).
31. Results (cont)
The path c’ (c prime path) shows the association between depression as the
independent variable and life satisfaction as the dependent variable when not
controlling for the mediator. In this case, a decrease in the level of association was
seen between the relationship of depression(IV) and life satisfaction (DV) via the
mediation of which is an indication of partial mediation (B= -.31, p<.001).
32. Discussion
The purpose of the present study was to assess the association among
depression, social support and in patients with diabetes. The study also aimed to
identify the social and psychological effects of diabetes being a metabolic and
debilitating disease.
The results specifically show a positive significant association between social
support and quality and a significant negative association of depression with
social support and quality of life.
33. Discussion (cont)
Results showed that there were significant gender differences in social support and depression but
not in quality of life.
It was also found that males scored higher on depression as well as social support in comparison
to females.
Results showed that those patients who have strong social support in their life they showed better
and happy life in its quality.
Results indicated that those patients who had greater social support showed less depression and
those who had less support in their social life suffer more in depression.
34. Discussion (cont)
Results demonstrated that gender, age, financial and poor glycemic control were
likewise connected with diabetes.
Results of the study offered a partial mediating effect of social support.
It was explored in that research that diabetic patients who receive social support
from their love ones experience less depression in their lives and perform better in
their diabetic condition. It improves their quality of life.
35. Conclusion
The results showed that depression and social support have a predictive association
with quality of life. The role of gender was also identified as being significant.
The findings also showed significant gender differences in social support and
depression but not quality of life.
diabetes adversely influences quality of life for both males and females on an equal par
but the differences in how the disease is experienced psychologically and socially is
different.
36. Limitations
Urdu version of scales was not available
Due to Covid 19 , there was great difficulty collecting data.
The sample was limited to the patients coming in outpatient settings in
Sheikhupura
37. Implications
Need for provision of more social support and counseling services for diabetics
This disease needs to be integrated among the top healthcare concerns in
Pakistan
Start awareness campaigns on importance of physical activities
It can help to find out root causes of poor performance in treatment of diabetes
Its findings can apply to make better quality of life for those who are suffering
from diabetes
38. Implications (cont)
The media needs to play a major role in promoting awareness among individuals
about the psychological effects and the avenues for seeking professional help
Specialized therapeutic interventions should be developed specifically for patients
with diabetes